NPIMap

Organization Active NPI

Elkins Regional Convalescent Center Inc. Dba Elkins Rehab and Care Ctr

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Elkins, WV
National Provider Identifier
1851793152
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
134 Issued in WV
Legal business name
ELKINS REGIONAL CONVALESCENT CENTER INC. DBA ELKINS REHAB AND CARE CTR
Practice address
1175 Beverly Pike
Elkins, WV 26241-9759
Phone
(304) 636-1391
Fax
(304) 636-1371
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Betsy Jones
Title
Cfo
Phone
(304) 636-1391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 134 WV Primary

Addresses

Primary practice location

1175 Beverly Pike
Elkins, WV 26241-9759

Mailing address

1175 Beverly Pike
Elkins, WV 26241-9759
Phone (304) 636-1391

National Provider Directory

National Provider Directory
Tax ID family
Elkins Regional Convalescent Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1851793152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 BEVERLY PIKE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419759",
            "telephone_number": "304-636-1391",
            "fax_number": "304-636-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 BEVERLY PIKE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419759",
            "telephone_number": "304-636-1391",
            "fax_number": "304-636-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKINS REGIONAL CONVALESCENT CENTER INC. DBA ELKINS REHAB AND CARE CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-636-1391"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "WV",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.